Organization · Type 2 NPI

Premise Health of Oklahoma Medical PC

Multi-Specialty Clinic/Center · Ardmore, OK

NPI number 1275360273 Active

Practice location

1 Valero Way
Ardmore, OK 73401-1615

Fax (580) 221-6695

Mailing address

5500 Maryland Way Ste 120
Brentwood, TN 37027-4993

Specialties and licenses

TaxonomyCodeLicense
Multi-Specialty Clinic/Center Primary 261QM1300XNone listed

Multi-Specialty Clinic/Center: Definition to come...

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About NPI 1275360273

Premise Health of Oklahoma Medical PC's National Provider Identifier is 1275360273, issued on Sep 16, 2024. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Ardmore, OK. The record was last updated on Feb 10, 2026.